The knee joint is the largest weight-bearing joint in the body and is responsible for the activities, running and sports of daily life and work. Therefore, the knee joint is prone to injury and pain. As people become more health conscious, more and more people are running and exercising, and more and more people are experiencing painful knee injuries. The elderly, in particular, are more prone to knee pain due to degeneration, aging and osteophytes in the knee joint. People often ask, “What’s wrong with my knee? Why does it hurt all the time? What is wrong with it? Based on years of clinical observation, I found that most knee pain is a problem with the tendons. So which tendons in the knee joint are the problems? How can they be treated and prevented? The following is a discussion of this topic. The knee joint consists of the distal femur, the proximal tibia and the patella. The bones alone are not enough, they are connected by the surrounding “tendons” and their stability is also reinforced by the “tendons”. The stability of the knee joint is very important. If there is no tendon, or if there is a problem with the tendon, the knee joint will become loose and unstable, and people will not be able to walk or exercise, or they will have pain after walking for a long time or exercising more. According to Chinese medicine, the knee is the house of tendons, which means that the knee joint has the most tendons. “The tendons are the joint capsule, synovium, ligaments, meniscus, bursa, fat pad, muscles, fascia, nerves and other soft tissues. The fascia has a complex structure and bears a heavy burden prone to injury and knee pain, and it is also difficult to diagnose. Without a clear diagnosis, it is also difficult to achieve good results in treatment. Second, how to determine which tendon has a problem You can determine what tendon has a problem according to the location of the knee pain: 1, the front side of the knee pain: if the pain is located in the front upper knee, it may be quadriceps injury, strain, knee extension fasciitis, patellofemoral joint osteoarthritis, synovitis; if the pain is located in the front lower knee, it may be infrapatellar fat pad injury, strain, patellar ligament injury; if the pain is located in the If the pain is located in the knee joint and the whole knee joint is swollen, it may be knee joint effusion, intra-articular synovitis. 2, medial knee pain: If the pain is located in the medial knee joint, it may be medial collateral ligament injury, meniscal injury and peri-meniscal inflammation, saphenous nerve entrapment, synovial crease syndrome, goose foot bursitis, etc. 3, lateral knee pain: if the pain is located on the lateral side of the knee, it may be lateral meniscal injury, lateral collateral ligament injury, iliotibial bundle friction syndrome, popliteal tendonitis, biceps femoris tendonitis, etc. 4. Posterior knee pain: If the pain is located on the posterior side of the knee, it may be popliteal spasm, popliteal fatty tissue injury, posterior cruciate ligament injury, posterior meniscal horn injury, popliteal tendonitis and bursitis, popliteal cyst, popliteal oblique ligament injury, peroneal bean syndrome, synovial chondromatosis, etc. In addition, osteoarthritis of the knee, rheumatoid arthritis, gouty arthritis, psoriatic arthritis, hemophilic arthritis, intra-articular free bodies, pigmented villous nodular synovitis, septic arthritis, knee tuberculosis, and tumors can also cause knee pain. Therefore, if you have knee pain, you should seek medical advice and treatment in time to avoid delaying the condition. Third, how to treat the problem of tendon 1, drug local injection + small needle treatment: tendon problems are mostly due to chronic exertion, acute sprain and contusion or wind and cold, damage to the tendons around the knee joint, aseptic inflammation, and pain; inflammation over time will lead to soft tissue hyperplasia, hypertrophy and adhesions, so the treatment effect is often not ideal. Local injection of drugs is to inject anti-inflammatory drugs directly into the inflammation site, the drug effect is more direct, so the effect is good; small needle knife treatment is to loosen the soft tissue of the hyperplasia and adhesion, restore the normal anatomical structure, reduce the tissue tension and decompression, release the nerve pressure and stimulation, and finally make the injured tendons heal. This method is fast, effective, generally 1-2 times to cure, non-toxic side effects. 2, massage therapy: massage can play the role of blood circulation, anti-inflammatory and pain relief, relieve muscle tension and spasm and improve joint function, is also a common and effective treatment of the disease, generally 1-2 times a week, according to the condition of the treatment course. Because the treatment effect is better, and no toxic side effects, so, by many patients love. 3, the external application of traditional Chinese medicine treatment: the use of blood circulation and blood stasis, dispel wind and cold dampness of the local external application of traditional Chinese medicine is also a very good treatment method, the drug effect directly, the effect is faster. Once a day, you can choose to apply it at night and remove it after waking up, which does not affect your life and work during the day. 4.Chinese medicine oral treatment: according to the specific situation of the patient, the identification of the selection of blood circulation, eliminating wind, cold and damp, liver and kidney, qi and blood oral treatment of Chinese medicine, conditioning the pathological state of the body, to achieve the effect of both primary and secondary treatment, to avoid recurrence. 5, Western medicine oral: If the pain is obvious and unbearable, you can take oral painkiller treatment to relieve pain and relieve suffering. 4. How to prevent 1. Exercise should not be excessive, but gradual and measured, avoiding high-intensity exercise and prolonged running. If knee pain occurs after exercise, it means over-exercise. 2. Avoid mountain climbing, stair climbing, squatting, excessive flexion and stretching, etc. These exercises cause more damage to the knee joint and more damage to the tendons around the knee joint. 3. Pay attention to warmth and avoid getting cold, especially do not blow directly on fans and air conditioners. When the weather gets cold, add clothes in time. 4. If you have knee pain, you should see a doctor in time to avoid delays in treatment.